THOMAS E VAN DYKE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****85

License Status

INOPERATIVE

Business

First Name

THOMAS E

Last Name

VAN DYKE

Business Name

THOMAS E VAN DYKE

Original Issue Date

04/16/2001

Effective Date

12/27/2023

Expiration Date

03/01/2026

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2025